Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC
Active
Other names
Saint John Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
3550 S 4TH ST STE 200, LEAVENWORTH, KS 66048-5009
(913) 680-6442
(913) 680-6425
Mailing address
3550 S 4TH ST STE 200, LEAVENWORTH, KS 66048-5009
(913) 680-6442
(913) 680-6425
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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